NPIMap

Organization Active NPI

Gold Chris Associates, LLC

  • Clinic/Center
  • Ocean, NJ
National Provider Identifier
1497804231
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
10129-02-05 Issued in NJ
Legal business name
GOLD CHRIS ASSOCIATES, LLC
Practice address
1 Centre St.
Ocean, NJ 07712
Phone
(732) 922-0591
Fax
(732) 922-0593
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey I Goldstein, J.D. - MBA
Title
Chief Executive Officer
Phone
(732) 922-0591

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10129-02-05 NJ Primary
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

1 Centre St.
Ocean, NJ 07712

Mailing address

P.O. Box 2136
1 Centre Street
Ocean, NJ 07712
Phone (732) 922-0591

Other identifiers 1

IdentifierTypeStateIssuer
0006378MedicaidNJ

Other names 1

  • GATEWAY DAY TREATMENT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daybreak Treatment Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1497804231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2136",
            "address_2": "1 CENTRE STREET",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "07712",
            "telephone_number": "732-922-0591",
            "fax_number": "732-922-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTRE ST.",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "07712",
            "telephone_number": "732-922-0591",
            "fax_number": "732-922-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD CHRIS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "732-922-0591",
        "authorized_official_credential": "J.D. - MBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "10129-02-05",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006378",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GATEWAY DAY TREATMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.